Individual
MARK R STEENWYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
610 MAIN ST, LAFAYETTE, IN 47901-1451
(765) 428-2249
(765) 742-4196
Mailing address
1165 CAMELBACK BLVD, W LAFAYETTE, IN 47906-1866
(765) 428-2249
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042336A
IN
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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